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1. Default Section

1. Please complete the following:

* 2. What is your gender?

3. Race/Ethnicity:

4. If you selected International Student or Other for the previous question please indicate what country you are from or what race/ethnicity you identify as:

5. I plan to live:

6. Please rate your academic skills:

  Excellent Pretty Good Okay Need Some Help
Math Skills:
Written Communication Skills:
Oral Communication Skills:
Reading Skills:

7. I am at my best in the:

8. I consider myself to be:

9. Extracurricular activities you plan to be involved in:

10. Please comment on how you enjoy spending your free time, anything you are concerned about, or anything you would like your mentor to know about you.

11. RSVP for dinner on a Wednesday in early September. Attendance is mandatory in order to establish a good mentoring relationship!